信息化管理平台的延续性护理对产后盆底功能障碍患者的肌收缩力影响

Effects of the influence of the continuous nursing based on information management platform for postpartum patients with pelvic floor dysfunction on their muscle contractility

目的:探讨基于信息化管理平台的延续性护理对产后盆底功能障碍性疾病(PFD)患者肌收缩力的影响。方法:选择2020年1月-2022年12月在本院接受治疗的产后PFD患者115例,用随机数表法分为观察组和对照组各57例。两组均给予产后盆底康复训练,对照组给予术后常规产后护理,观察组给予基于信息化管理平台的延续性护理。比较两组3个月后临床疗效、盆底肌收缩力、盆底肌疲劳值、盆底障碍影响问卷7(PFIQ-7)、盆底障碍功能调查表(PFDI-20)评分及产后并发症发生情况。结果:观察组治疗总有效率(87.9%)高于对照组(71.9%),肌收缩力(263.71±3.58 g/cm^(2))、肌电位(15.35±2.34μV)、静态张力(184.58±36.47 g/cm^(2))及动态张力(242.25±45.23 g/cm^(2))均高于对照组(224.52±46.69 g/cm^(2)、13.88±2.38μV、143.52±37.96 g/cm^(2)、214.58±50.17 g/cm^(2)),I类肌纤维(3.30±0.34%/s)、II类肌纤维疲劳值(3.12±0.31%/s)均低于对照组(3.98±0.65%/s、4.05±0.41%/s),PFIQ-7(12.14±3.24分)、PFDI-20评分(9.14±2.23分)均低于对照组(16.65±3.25分、12.42±4.30分),治疗期间盆底并发症总发生率(5.2%)低于对照组(17.5%)(均P<0.05)。结论:在PFD患者基于信息化管理平台的延续性护理效果较好,可有效改善患者肌收缩力水平,提高生活质量。

Objective:To study the effects of the influence of the continuous nursing based on information management platform for postpartum patients with pelvic floor dysfunction(PFD) on their muscle contractility.Methods:115 patients with postpartum PFD who wanted treatment in hospital were selected and divided into experimental group(n=58) and control group(n=57) by random number table method from January 2020 to December 2022.The patients in both groups were given postpartum pelvic floor rehabilitation training,and the patients in the control group were given routine postnatal care and the patients in the experimental group were given continuous care based on the information management platform.The clinical efficacy,the muscle contractility,the pelvic floor fatigue value,the scores of pelvic floor distress inventory-7(PFIQ-7) and pelvic floor distress inventory-20(PFDI-20),and the postpartum complications rate of the patients after 3 months of treatment were compared between the two groups.Results:The total effective rate(87.9%) of the patients in the experimental group was significantly higher than that(71.9%) of the patients in the control group.The values of muscle contractility(263.71±3.58 g/cm^(2)),the muscle electric potential(15.35±2.34μV),the static tension(184.58±36.47 g/cm^(2)) and the dynamic tension(242.25±45.23 g/cm^(2)) of the patients in the experimental group were significantly higher than those(224.52±46.69 g/cm^(2),13.88±2.38μV,143.52±37.96 g/cm^(2) and 214.58±50.17 g/cm^(2)) of the patients in the control group.The fatigue values of the type Ⅰ muscle fiber(3.30+ 0.34%/s) and the type Ⅱ muscle fiber(3.12±0.31 %/s) of the patients in the experimental group were significantly lower than those(3.98±0.65 %/s and 4.05±0.41 %/s) of the patients in the control group.The scores of PFIQ-7(12.14±3.24 points)and PFDI-20(9.14±2.23 points),and the total incidence of pelvic floor complications(5.2%) of the patients in the experimental group were significantly lower than those(16.65±3.25 points,12.42±4.30 points and17.5%) of the patients in the control group(all P<0.05).Conclusion:The continuous nursing based on information management platform for the patients with postpartum PFD has better effect,and which can effectively improve their muscle contractility and quality of life.